<!DOCTYPE html>
<html>
<head>
<meta charset="UTF-8">
<title>Insert title here</title>
</head>
<body>
<h2>Account Settings</h2>
<form>
<fieldset>
<legend>Notifications</legend>
<label for="notifyByEmail">Notify me by email:</label>
<input type="checkbox" name="notifyByEmail" value="1" /><br />
<label for="notifyByCellPhone">Notify me by cell phone:  <span>Currently US Customers Only</span></label>
<input type="checkbox" name="notifyByCellPhone" value="1" />
<input type="text" name="notifyCellNum" value="" />
</fieldset>
<fieldset>
<input ype="submit" name="submit" value="submit" />
</fieldset>

</form>
</body>
</html>